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Dr. Richard Allen Wilson, DDS

Dentist, General Practice in Conroe, TX. Individual provider (NPI-1).

NPI number1760633929
StatusActive
Last updated in NPPESFeb 16, 2017

Details

NPI
1760633929
Entity type
Individual (NPI-1)
Name
Dr. Richard Allen Wilson
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Oct 7, 2008
Last updated
Feb 16, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice26065TXYes

Practice location

3828 W Davis St
Suite 310
Conroe, TX 77304-1815

Phone 936-756-9015

Mailing address

3828 W Davis St
Suite 310
Conroe, TX 77304-1815

Phone 936-756-9015

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